MEDICARE: KRISTEN RENEE BARNETT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	95464	TX

General Provider Information

NPI Number	:	1184574600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN RENEE BARNETT LPC

Provider Business Mailing Address
First Line	:	3711 S HIGHWAY 161 APT 1308
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-9006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 S HIGHWAY 161
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-7943
Country	:	US
Telephone Number	:	214-531-7417
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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